Balanced Restoration: Optimizing Midface Rejuvenation Using Hyaluronic Acid Fillers.

ABSTRACT: Currently available hyaluronic acid filler technologies concentrate on reflation of the aging midface primarily with the use of fillers to reinflate the deep fat compartments. However, filler technology has evolved, which allows us to reconsider how to address midface volume loss more appropriately. We propose that balanced restoration, a multilayered technique, should be the contemporary approach to midface revolumization with hyaluronic acid fillers, as it is based on an advanced understanding of anatomy and can achieve natural-looking outcomes that maintain dynamic facial expression. The midface comprises 2 distinct fat layers, superficial and deep, with different morphological and mechanical attributes that reflect the different functions that fat tissue plays in each layer. Because of

SUBMITTER: Rohrich RJ 

PROVIDER: S-EPMC12931948 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature